SIU Auto Triage Rep

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Requirements:

• Demonstrated experience providing customer-driven solutions, support or service.
• Basic knowledge of claim handling guidelines, practices and processes.
• Demonstrated organizational skills to manage assignments and workload effectively and efficiently.
• Basic knowledge utilizing the internet, claim and policy systems, and informational research systems and databases.
• Demonstrated written and verbal communication skills.
• Demonstrated analytical skills to include information gathering, critical thinking and decision making.

Responsibilities:

• Evaluate information from referring source and determine if intervention is warranted.
• Obtain additional information from various data sources in support of the referral decision when necessary.
• Assigns referral to the appropriate resource in accordance with established triage guidelines and directives.
• Record required data into the appropriate systems and databases and evaluate to ensure accuracy and compliance with established guidelines and directives.
• Respond to oral and written inquiries in a timely manner.
• Communicate with internal and external parties regarding referrals when appropriate.
• Keep SIU management informed of issues.